Individual
MR. PHILLIP JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
303 N KEENE ST, STE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
(573) 443-0250
Mailing address
303 N KEENE ST, STE102, COLUMBIA, MO 65201-7193
(573) 443-0225
(573) 443-0250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001024950
MO
Other
Enumeration date
10/02/2007
Last updated
11/25/2016
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